Electronic Health Records Improvement Act

The Patient Protection and Affordable Care Act, Pub. L. 111-148, Section 4104; Colon cancer screening policies in Medicare; Medicare physician quality incentives; H.R. 1320/S. 608, the Supported Colorectal Examination and Education Now Act (SCREEN Act) of 2013; H.R. 1331, the Electronic Health Record Improvement Act; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medical procedures under Medicare; Issues related to the Medicare physician fee schedule and payment policies for GI services.

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

The Patient Protection and Affordable Care Act, Pub. L. 111-148, Section 4104; Colon cancer screening policies in Medicare; Medicare physician quality incentives; H.R. 1320/S. 608, the Supported Colorectal Examination and Education Now Act (SCREEN Act) of 2013; H.R. 1331, the Electronic Health Record Improvement Act; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medical procedures under Medicare; Issues related to the Medicare physician fee schedule and payment policies for GI services.

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

The Patient Protection and Affordable Care Act, Pub. L. 111-148, Section 4104; H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Colon cancer screening policies in Medicare; Medicare physician quality incentives; H.R. 1320/S. 608, the Supported Colorectal Examination and Education Now Act (SCREEN Act) of 2013; H.R. 1331, the Electronic Health Record Improvement Act; H.R. 2545, the Accuracy in Physician Payment Act of 2013; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medical procedures under Medicare; Issues related to the Medicare physician fee schedule and payment policies for GI services; H.R. 887, the Electronic Health Fairness Act.

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

The Patient Protection and Affordable Care Act, Pub. L. 111-148, Section 4104; H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Colon cancer screening policies in Medicare; Medicare physician quality incentives; H.R. 1320/S. 608, the Supported Colorectal Examination and Education Now Act (SCREEN Act) of 2013; H.R. 1331, the Electronic Health Record Improvement Act; H.R. 2545, the Accuracy in Physician Payment Act of 2013; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medicare procedures under Medicare; Issues related to the Medicare physician fee schedule and payment policies for GI services; H.R. 887, the Electronic Health Fairness Act; Issues related to the 2016 Medicare Advantage rate notice as it relates to colon cancer screening.

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S. 264, H.R. 1263, the Excellence in Mental Health Act H.R. 794, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 574, the Medicare Physician Payment Innovation Act of 2013 S. 577, H.R. 1201, Training Tomorrows Doctors Today Act S. 236, H.R. 1310, the Medicare Patient Empowerment Act of 2013 H.R. 1331, the Electronic Health Records Improvement Act S. 351, H.R. 351, the Protecting Seniors Access to Medicare Act of 2013 H.R. 297, the Childrens Hospital GME Support Reauthorization Act of 2013 H.R. 2545, the Accuracy in Medicare Physician Payment Act of 2013 S. 1064, Medicare Mental Health Access Act H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128, the Protect Patients Act of 2013 H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H.R. 3662, the Mental Health Access Improvement Act of 2013 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 4015, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762, the Medicare Transitional Care Act of 2014 H.R. 5353, the Medicaid Parity Act of 2014 H.R. 5136, the Breaking Addiction Act of 2014 H.R. 5339, the Expanding Opportunities for Recovery Act of 2014 H.R. 5587, the Opioid Abuse Prevention and Treatment Act of 2014 Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to Identifiable Data for the Center for Medicare and Medicaid Innovation Models & Other Revisions to Part B for CY 2015 (CMS-2014-0094-2364)

Client expense: $72,153 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S. 153, H.R. 274, the Mental Health First Aid Act of 2013 S. 195, H.R. 628, the Mental Health in Schools Act of 2013 H.R. 1100, the Mental Health on Campus Improvement Act S. 264, H.R. 1263, the Excellence in Mental Health Act H.R. 794, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 574, the Medicare Physician Payment Innovation Act of 2013 S. 577, H.R. 1201, Training Tomorrows Doctors Today Act S. 236, H.R. 1310, the Medicare Patient Empowerment Act of 2013 H.R. 1331, the Electronic Health Records Improvement Act H.R. 1427, the Truth in Healthcare Marketing Act of 2013 S. 351, H.R. 351, the Protecting Seniors Access to Medicare Act of 2013 S. 265, Community-Based Mental Health Improvements Act S. 648, Helping Educators Support All Students Act S.162, Justice and Mental Health Collaboration Act of 2013; S. 649, Safe Communities, Safe Schools Act of 2013 S. 2461: The CHIP Extension Act of 2014 S. 2728: The Community Based Medical Education Act H.R. 1615, A bill to provide for a study by the Institute of Medicine on gaps in mental health services and how these gaps can increase the risk of violent acts. H.R. 2037, the Native American Psychiatric and Mental Health Care Improvement Act H.R. 2545, the Accuracy in Medicare Physician Payment Act of 2013 S. 1064, Medicare Mental Health Access Act H.R. 2775, No Subsidies Without Verification Act H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128, the Protect Patients Act of 2013 H.R. 2817, the Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 2734, the Garrett Lee Smith Memorial Act Reauthorization of 2013 H.R. 2910, the Gun Violence Prevention and Reduction Act H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H Con Res 69, the Stop Harming Our Kids Resolution of 2013 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 4015, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762, the Medicare Transitional Care Act of 2014 H.R. 4574, the Strengthening Mental Health in Our Communities Act H.R. 4783, the Promoting Healthy Minds for Safer Communities Act H.R. 4581, the Parental Control Act of 2014 H.R. 5353, the Medicaid Parity Act of 2014 H.R. 5136, the Breaking Addiction Act of 2014 H.R. 5587, the Opioid Abuse Prevention and Treatment Act of 2014 H.R. 5339, the Expanding Opportunities for Recovery Act of 2014 H.R. 5364: The CHIP Extension and Improvement Act of 2014

Client expense: $72,153 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

SGR/payment reform, graduate medical education (H.R.1201, H.R.1180, S.1152), private contracting for Medicare beneficiaries and their physicians (S.236/H.R.1301), electronic health records (H.R.1331), clinical data registry reporting.

Client expense: $120,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

please see addendum H.R. 1331 the Electronic Health Records Improvements Act H.R. 1201 Training Tomorrow's Doctors Today Act H.R. 1701 Cutting Costly Codes Act of 2013 H.R. 1827 The Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R.2545 Accuracy in Medicare Physician Payment Act of 2013 H.R. 2720 The Alexis Agin Identity Theft Protection Act H.R. 2810 Medicare Patient Access and Quality Improvement Act S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 577 The Resident Physician Shortage Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1360 The Improper Payments Agency Cooperation Enhancement Act S. 1871 SGR Repeal and Medicare Beneficiary Access Act of 2013 Affordable Care Act implementation, health care reform, health care quality improvement, physician workforce, comparative effectiveness research, health information technology, EHR meaningful use, Sustainable Growth Rate, Medicare Physician Payment Reform, Independent Payment Advisory Board, Resident work hours, patient centered outcomes research institute, MEDCAC, Centers for Medicare and Medicaid Innovation, Medicare claims data, Social Security Death Master File, lung cancer screenings, AHRQ-USPSTF, Graduate Medical Education, Medical Loss Ratio, Electronic cigarette regulation, surgical global payments

Client expense: $110,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

H.R. 2500/S. 1137 - Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 1070 - Removing Barriers to Colorectal Cancer Screening Act of 2013 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs H.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 1331 - Electronic Health Records improvement Act H.R. 5556 - Electronic Health Fairness Act H.R. 3742 - Antibiotic Development to Advance Patient Treatment Act of 2013

Client expense: $163,606 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

H.R. 855 - Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 702, Access to Frontline Health Care Act, all sections H.R. 1427, Truth in Health Marketing Act, all sections H.R. 351, Protecting Seniors Access to Medicare Act, all sections S. 351, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 920, National Health Service Corps Improvement Act H.R. 1331, Electronic Health Records Improvement Act P.L. 113-54, Drug Quality & Security Act, all sections H.R. 4015/S 2000, the SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302, Protecting access to Medicare Act ASC Quality Reporting Program Medicare Advantage Participant Bill of Rights Act (S2552/HR4998), all sections 2015 Physician Schedule Rule, Issues pertaining to clinical data regional/global surgery payments

Client expense: $170,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Proposed Regulations affecting Rural Health Clinics Coverage of preventive services when provided in RHCs as stand-alone visitsRegulations establishing standards for the meaningful use of electronic health records Provider enrollment (PECOS) in Medicare and the ability to order or refer patients Possible cuts to Medicare bad debt payments for RHCs Sequestration related cuts in RHC payments H.R. 1331: Electronic Health Records Improvement Act Seniors Mental health Access Improvement Act Proposed Changes in RHC regulations dealing with employment of PAs and NPs Changes to the RHC manual by CMS Medicaid waiver applications submitted by Arkansas and Iowa Legislation to repeal/replace the SGR formula Medicare interpretation of "preventive services" as billable visits when performed in rural health clinic CMS reinterpretation of Island staffing exemption in RHCs The ability of RHC providers to serve as rendering provider for telehealth visits Medicaid waiver application submitted by Pennsylvania Medicaid changes made by West Virginia relative to Rural Health Clinic Services Craig Thomas R-Hope legislation CMS staffing requirements and ability of PAs and NPs to be contracted vs. W2 employees in RHCs Physician on-site availability requirements in RHCs Network adequacy Medicare coverage of preventive services as billable visits in the RHC setting Medicare coverage of Chronic Care Management when provided in the RHC setting

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Legislation to fix or affecting the Medicare Physician Fee problem and Graduate Medical Education. Support to repeal IPAB. Regulations implementing Affordable Care Act, HIT, ACO's, Physician Fee Schedule, Medicare fraud and abuse, electronic records and ICD-10. Support HR 1331, Electronic Health Record Improvement Act. Support HR 1331, Electronic Health Record Improvement Act.Legislation to repeal/replace the SGR formula affecting Physician fee schedule payment conversion factor. Possible reforms to Medicare Graduate Medical Education funding.

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 264, H.R. 1263, the Excellence in Mental Health Act H.R. 794, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 574, the Medicare Physician Payment Innovation Act of 2013 S. 577, H.R. 1201, Training Tomorrows Doctors Today Act S. 236, H.R. 1310, the Medicare Patient Empowerment Act of 2013 H.R. 1331, the Electronic Health Records Improvement Act S. 351, H.R. 351, the Protecting Seniors Access to Medicare Act of 2013 H.R. 297, the Childrens Hospital GME Support Reauthorization Act of 2013 H.R. 2545, the Accuracy in Medicare Physician Payment Act of 2013 S. 1064, Medicare Mental Health Access Act H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128, the Protect Patients Act of 2013 H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H.R. 3662, the Mental Health Access Improvement Act of 2013 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 4015, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762, the Medicare Transitional Care Act of 2014 H.R. 5353, the Medicaid Parity Act of 2014 H.R. 5136, the Breaking Addiction Act of 2014 H.R. 5339, the Expanding Opportunities for Recovery Act of 2014 H.R. 5587, the Opioid Abuse Prevention and Treatment Act of 2014 Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to Identifiable Data for the Center for Medicare and Medicaid Innovation Models & Other Revisions to Part B for CY 2015 (CMS-2014-0094-2364)

Client expense: $72,153 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S. 153, H.R. 274, the Mental Health First Aid Act of 2013 S. 195, H.R. 628, the Mental Health in Schools Act of 2013 H.R. 1100, the Mental Health on Campus Improvement Act S. 264, H.R. 1263, the Excellence in Mental Health Act H.R. 794, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 574, the Medicare Physician Payment Innovation Act of 2013 S. 577, H.R. 1201, Training Tomorrows Doctors Today Act S. 236, H.R. 1310, the Medicare Patient Empowerment Act of 2013 H.R. 1331, the Electronic Health Records Improvement Act H.R. 1427, the Truth in Healthcare Marketing Act of 2013 S. 351, H.R. 351, the Protecting Seniors Access to Medicare Act of 2013 S. 265, Community-Based Mental Health Improvements Act S. 648, Helping Educators Support All Students Act S.162, Justice and Mental Health Collaboration Act of 2013; S. 649, Safe Communities, Safe Schools Act of 2013 S. 2461: The CHIP Extension Act of 2014 S. 2728: The Community Based Medical Education Act H.R. 1615, A bill to provide for a study by the Institute of Medicine on gaps in mental health services and how these gaps can increase the risk of violent acts. H.R. 2037, the Native American Psychiatric and Mental Health Care Improvement Act H.R. 2545, the Accuracy in Medicare Physician Payment Act of 2013 S. 1064, Medicare Mental Health Access Act H.R. 2775, No Subsidies Without Verification Act H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128, the Protect Patients Act of 2013 H.R. 2817, the Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 2734, the Garrett Lee Smith Memorial Act Reauthorization of 2013 H.R. 2910, the Gun Violence Prevention and Reduction Act H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H Con Res 69, the Stop Harming Our Kids Resolution of 2013 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 4015, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762, the Medicare Transitional Care Act of 2014 H.R. 4574, the Strengthening Mental Health in Our Communities Act H.R. 4783, the Promoting Healthy Minds for Safer Communities Act H.R. 4581, the Parental Control Act of 2014 H.R. 5353, the Medicaid Parity Act of 2014 H.R. 5136, the Breaking Addiction Act of 2014 H.R. 5587, the Opioid Abuse Prevention and Treatment Act of 2014 H.R. 5339, the Expanding Opportunities for Recovery Act of 2014 H.R. 5364: The CHIP Extension and Improvement Act of 2014

Client expense: $72,153 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S.1137 - "Ambulatory Surgical Center Quality and Access Act of 2013." Support for HR 1331, "Electronic Health Records Improvement Act."

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Emergency Contraception (general; Health Care Reform Implementation. Drug Dependence (general); HIV Screening (general); Gynecological Cancer; Breast Cancer (general); Breastfeeding (general); Medical Liability Reform (general); Health IT (general); Prematurity (general)Obesity (general); Disparities (general); Prevention and Public Health Trust Fund (general); Imaging (general); Graduate Medical Education (general); Quality Improvement Measurement (general); Contraception (general); CMS Provider Penalties (general)Preeclampsia (general); National Health Service Corps (general); Abortion (general); Indian Health (general); CMS Health IT incentive program, meaningful use State 3; Immigrant Health Care Access; S. 237, Advancing FASD Research, Prevention and Services Act; S. 333/H.R. 728, Access to Birth Control Act; H.R. 1331, Electronic Health Records Improvements Act; H.R. 1201, Training Tomorrows Doctors Today Act; H.R. 896/X. 425, Quality Care for Moms and Babies Act; H.R. 1281/S. 1417, Newborn Screening Saves Lives Reauthorization Act; H.R. 36/S. 961, Health Care Safety Net Enhancement Act; H.R. 1975/S. 942 Pregnant Workers Fairness Act; Implementation of H.R. 3204, the Drug Quality and Security Act; H.R. 1915/S. 907 GEDI Act; H.R. 5364 CHIP Extension and Improvement ACT; S. 1009, Chemical Safety Improvement Act; H.R. 2286, Maximizing Optimal Maternity Services for the 21st Century Act; H.R. 4106, Saving Lives, Saving Costs Act; Pregnancy Discrimination (general); S. 1124, BPA in Food Packaging Right to Know Act; H.R. 4240, HEAL Immigrant Women and Families Act; H.R. 4216, Maternal Health Accountability Act; S. 1978, Increasing Primary Care Access Act; H.R. 4435/S. 2410 Carl Levin National Defense Authorization Act for Fiscal Year 2015; H.R. 4385, To Amend the Public Health Service Act to provide for the Designation of maternity care health professional shortage areas; H.R. 4492/S. 1994 TRICARE Moms Improvement Act of 2014; H.R. 4750/S. 1769, Standard of Care Protection Act of 2014; S. 2461, CHIP Extension Act of 2014; H.R. 4888 CRIB Act; S. 2722 Protecting our Infants Act; H.R. 5524/S. 2687 Access to contraception for Women Service Members and Dependents Act; 21st Century Cures; H.R> 5294 Health Equity and Accountability Act; H.R. 5539 Except certain transfers of value from reporting requirements under Sunshine Act; H.R. 5486 Child Nicotine Poisoning Prevention Act.

Client expense: $394,993 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), White House Office

H.R. 547, Medicare Physician Payment Innovation Act H.R. 1427, Truth in Healthcare Marketing Act of 2013 H.R. 1331, Electronic Health Records Improvement Act S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, MEdicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4015, SGR Repeal and Medicare Provide Payment Modernization Act of 2014 H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; Sustainable Growth Rate S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 S. 1444, Medicare Access to Rural Anesthesiology Act of 2013 H.R. 351, Protecting Seniors' Access to Medicare Act; IPAB S. 351, Protecting Seniors' Access to Medicare Act; IPAB H.R. 647, Achieving a Better Life Experience Act of 2014 (ABLE); payment S. 313, Achieving a Better Life Experience Act of 2014 (ABLE); payment Budget Control Act of 2011: P.L. 112-25 Anesthesia Rural Pass Through Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment issues: Medicare Sustainable Growth Rate repeal Bundled Payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2014 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Date Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling - Medicare sequestration E-Prescribing QCDR - Qualified Clinical Data Registry

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

The Patient Protection and Affordable Care Act, Pub. L. 111-148, Section 4104; Medicare sustainable growth rate reform; H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013; Colon cancer screening policies in Medicare; Medicare physician quality incentives; H.R. 1320/S. 608, the Supported Colorectal Examination and Education Now Act (SCREEN Act) of 2013; H.R. 1331, the Electronic Health Record Improvement Act; H.R. 2545, the Accuracy in Physician Payment Act of 2013; H.R. 4302, the Protecting Access to Medicare Act of 2014 (Pub. L. 113-93); S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medicare procedures under Medicare; Issues related to the Medicare physician fee schedule and payment policies for GI services.

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

H.R. 2500/S. 1137 - Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 1070 - Removing Barriers to Colorectal Cancer Screening Act of 2013 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCsH.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 1331 - Electronic Health Records improvement Act H.R. 5556 - Electronic Health Fairness Act H.R. 3742 - Antibiotic Development to Advance Patient Treatment Act of 2013

Client expense: $169,779 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S. 153/H.R. 274 The Mental Health First Aid Act of 2013 S. 195/H.R. 628 The Mental Health in Schools Act of 2013 H.R. 1100 The Mental Health on Campus Improvement Act S. 264/H.R. 1263 The Excellence in Mental Health Act H.R. 794 To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 574 The Medicare Physician Payment Innovation Act of 2013 S. 577/H.R. 1201 Training Tomorrows Doctors Today Act S. 236/H.R. 1310 the Medicare Patient Empowerment Act of 2013 H.R. 1331 The Electronic Health Records Improvement Act H.R. 1427 The Truth in Healthcare Marketing Act of 2013 S. 351/H.R. 351 The Protecting Seniors Access to Medicare Act of 2013 H.R. 297 The Childrens Hospital GME Support Reauthorization Act of 2013 S. 265 Community-Based Mental Health Improvements Act S. 648 Helping Educators Support All Students Act S.162 Justice and Mental Health Collaboration Act of 2013; S. 649 Safe Communities, Safe Schools Act of 2013 S. 2461 The CHIP Extension Act of 2014 S. 2728 The Community Based Medical Education Act H.R. 1615 A bill to provide for a study by the Institute of Medicine on gaps in mental health services and how these gaps can increase the risk of violent acts. H.R. 2037 The Native American Psychiatric and Mental Health Care Improvement Act H.R. 2545 The Accuracy in Medicare Physician Payment Act of 2013 S. 1064 Medicare Mental Health Access Act H.R. 2775 No Subsidies Without Verification Act H.R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128 The Protect Patients Act of 2013 H.R. 2817 The Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 2734 The Garrett Lee Smith Memorial Act Reauthorization of 2013 H.R. 2910 The Gun Violence Prevention and Reduction Act H.R. 3717 The Helping Families in Mental Health Crisis Act of 2013 H Con Res 69 The Stop Harming Our Kids Resolution of 2013 H.R. 4302 The Protecting Access to Medicare Act of 2014 H.R. 4015 The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 The Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 The Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762 The Medicare Transitional Care Act of 2014 H.R. 4574 The Strengthening Mental Health in Our Communities Act H.R. 4783 The Promoting Healthy Minds for Safer Communities Act H.R. 4581 The Parental Control Act of 2014 H.R. 5353 The Medicaid Parity Act of 2014 H.R. 5136 The Breaking Addiction Act of 2014 H.R. 5587 The Opioid Abuse Prevention and Treatment Act of 2014 H.R. 5339 The Expanding Opportunities for Recovery Act of 2014 H.R. 5364 The CHIP Extension and Improvement Act of 2014

Client expense: $71,176 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S. 264/H.R. 1263 The Excellence in Mental Health Act H.R. 794 To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 574 The Medicare Physician Payment Innovation Act of 2013 S. 577/H.R. 1201 Training Tomorrows Doctors Today Act S. 236/H.R. 1310 The Medicare Patient Empowerment Act of 2013 H.R. 1331 The Electronic Health Records Improvement Act S. 351/H.R. 351 The Protecting Seniors Access to Medicare Act of 2013 H.R. 297 The Childrens Hospital GME Support Reauthorization Act of 2013 H.R. 2545 The Accuracy in Medicare Physician Payment Act of 2013 S. 1064 Medicare Mental Health Access Act H.R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128 The Protect Patients Act of 2013 H.R. 3717 The Helping Families in Mental Health Crisis Act of 2013 H.R. 3662 The Mental Health Access Improvement Act of 2013 H.R. 4302 The Protecting Access to Medicare Act of 2014 H.R. 4015 The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 The Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 The Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762 The Medicare Transitional Care Act of 2014 H.R. 5353 The Medicaid Parity Act of 2014 H.R. 5136 The Breaking Addiction Act of 2014 H.R. 5339 The Expanding Opportunities for Recovery Act of 2014 H.R. 5587 The Opioid Abuse Prevention and Treatment Act of 2014 Proposed Rule for Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Fee Schedule & Other Revisions to Part B for CY 2015 (CMS-1612-P)

Client expense: $71,176 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S.1137 - "Ambulatory Surgical Center Quality and Access Act of 2013." Support for HR 1331, "Electronic Health Records Improvement Act."

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to fix or affecting the Medicare Physician Fee problem and Graduate Medical Education. Support to repeal IPAB. Regulations implementing Affordable Care Act, HIT, ACO's, Physician Fee Schedule, Medicare fraud and abuse, electronic records and ICD-10. Support HR 1331, Electronic Health Record Improvement Act. Support HR 1331, Electronic Health Record Improvement Act.Legislation to repeal/replace the SGR formula affecting Physician fee schedule payment conversion factor

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Proposed Regulations affecting Rural Health ClinicsRegulations establishing standards for the meaningful use of electronic health records Provider enrollment (PECOS) in Medicare and the ability to order or refer patients Possible cuts to Medicare bad debt payments for RHCs Sequestration related cuts in RHC payments H.R. 1331: Electronic Health Records Improvement Act Seniors Mental health Access Improvement Act Proposed Changes in RHC regulations dealing with employment of PAs and NPs Changes to the RHC manual by CMS Medicaid waiver applications submitted by Arkansas and Iowa Legislation to repeal/replace the SGR formula Medicare interpretation of "preventive services" as billable visits when performed in rural health clinic CMS reinterpretation of Island staffing exemption in RHCs The ability of RHC providers to serve as rendering provider for telehealth visits Medicaid waiver application submitted by Pennsylvania Medicaid changes made by West Virginia relative to Rural Health Clinic Services Craig Thomas R-Hope legislation CMS staffing requirements and ability of PAs and NPs to be contracted vs. W2 employees in RHCs Physician on-site availability requirements in RHCs Network adequacy Medicare coverage of preventive services as billable visits in the RHC setting

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

H.R. 855 - Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 702, Access to Frontline Health Care Act, all sections H.R. 1427, Truth in Health Marketing Act, all sections H.R. 351, Protecting Seniors Access to Medicare Act, all sections S. 351, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 920, National Health Service Corps Improvement Act H.R. 1331, Electronic Health Records Improvement Act P.L. 113-54, Drug Quality & Security Act, all sections H.R. 4015/S 2000, the SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302, Protecting access to Medicare Act ASC Quality Reporting Program Medicare Advantage Participant Bill of Rights Act (S2552/HR4998), all sections Qualified Clinical Data Registry Issues - Proposed 2015 Physician Schedule Rule

Client expense: $190,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

SGR/payment reform, graduate medical education (H.R.1201, H.R.1180, S.1152), private contracting for Medicare beneficiaries and their physicians (S.236/H.R.1301), electronic health records (H.R.1331), clinical data registry reporting.

Client expense: $120,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Emergency Contraception (general); Health Care Reform Implementation. Drug Dependence (general); HIV Screening (general); Gynecological Cancer; Breast Cancer (general); Breastfeeding (general); Medical Liability Reform (general); Health IT (general); Prematurity(general); Obesity (general); Disparities (general); Prevention & Public Health Trust Fund(general); Imaging (general); Graduate Medical Education (general); Quality Improvement Measurement (general); Contraception (general); Preeclampsia (general); CMS Provider Penalties (general); National Health Service Corps (general); Abortion (general); Indian Health (general) CMS Health IT incentive program, meaningful use Stage 3; Immigrant Health Care Access; S. 237, Advancing FASD Research, Prevention, and Services Act; S. 333/H.R. 728, Access to Birth Control Act; H.R. 1331, Electronic Health Records Improvements Act; H.R. 1201, Training Tomorrow's Doctors Today Act; H.R. 896/S. 425, Quality Care for Moms and Babies Act; H.R. 1281/S. 1417, Newborn Screening Saves Lives Reauthorization Act; H.R. 36/S. 961, Health Care Safety Net Enhancement Act; H.R. 1975/S. 942, Pregnant Workers Fairness Act; Implementation of H.R. 3204, the Drug Quality and Security Act; H.R. 1915/S. 907 GEDI Act; H.R. 5364 CHIP Extension and Improvement ACT; S. 1009, Chemical Safety Improvement Act; H.R. 2286, Maximizing Optimal Maternity Services for the 21st Century Act; H.R. 4106, Saving Lives, Saving Costs Act; Pregnancy Discrimination (general); S. 1124, BPA in Food Packaging Right to Know Act; H.R. 4240, HEAL Immigrant Women and Families Act; H.R. 4216, Maternal Health Accountability Act; S. 1978, Increasing Primary Care Access Act; H.R. 4435/S. 2410 Carl Levin National Defense Authorization Act for Fiscal Year 2015; H.R. 4385, To Amend the Public Health Service Act to provide for the Designation of maternity care health professional shortage areas; H.R. 4492/S. 1994 TRICARE Moms Improvement Act of 2014; H.R. 4750/S. 1769, Standard of Care Protection Act of 2014; H.R. 2996/S. 2461, CHIP Extension Act of 2014; H.R. 4888 CRIB Act; S. 2722 Protecting our Infants Act; H.R.5524/S. 2687 Access to contraception for Women Service Members and Dependents Act; 21st Century Cures; H.R. 5294 Health Equity and Accountability Act.

Client expense: $352,304 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

The Patient Protection and Affordable Care Act, Pub. L. 111-148, Section 4104; Medicare sustainable growth rate reform; H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013; Colon cancer screening policies in Medicare; Medicare physician quality incentives; H.R. 1320/S. 608, the Supported Colorectal Examination and Education Now Act (SCREEN Act) of 2013; H.R. 1331, the Electronic Health Record Improvement Act; H.R. 2545, the Accuracy in Physician Payment Act of 2013; H.R. 4302, the Protecting Access to Medicare Act of 2014 (Pub. L. 113-93); S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medicare procedures under Medicare.

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

H.R. 1331 the Electronic Health Records Improvements Act H.R. 1201 Training Tomorrow's Doctors Today Act H.R. 1701 Cutting Costly Codes Act of 2013 H.R. 1827 The Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R.2545 Accuracy in Medicare Physician Payment Act of 2013 H.R. 2720 The Alexis Agin Identity Theft Protection Act H.R. 2810 Medicare Patient Access and Quality Improvement Act H.R. 1473 Standard of Care Protection Act H.R. 36/S. 961 Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196 Good Samaritan Health Professionals Act of 2014 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 577 The Resident Physician Shortage Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1360 The Improper Payments Agency Cooperation Enhancement Act S. 1871 SGR Repeal and Medicare Beneficiary Access Act of 2013 Medicare Physician Fee Schedule, Inpatient Prospective Payment System, Affordable Care Act implementation, health care reform, health care quality improvement, physician workforce, comparative effectiveness research, health information technology, EHR meaningful use, Sustainable Growth Rate, Medicare Physician Payment Reform, Independent Payment Advisory Board, Resident work hours, patient centered outcomes research institute, MEDCAC, Centers for Medicare and Medicaid Innovation, Medicare claims data, Social Security Death Master File, lung cancer screenings, AHRQ-USPSTF, Graduate Medical Education, Medical Loss Ratio, Electronic cigarette regulation, surgical global payments

Client expense: $100,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

Monitored H.R. 1331 Electronic Health Records Improvement Act (all sections of full text)

Client expense: Not reported · Firm income: $20,000

Government targets: SENATE

H.R. 574, Medicare Physician Payment Innovation Act H.R. 1427, Truth in Healthcare Marketing Act of 2013 H.R. 1331, Electronic Health Records Improvement ActS.2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; Sustainable Growth Rate S.1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 S.1444, Medicare Access to Rural Anesthesiology Act of 2013 H.R. 351, Protecting Seniors' Access to Medicare Act; IPAB S.351, Protecting Seniors' Access to Medicare Act; IPAB Budget Control Act of 2011: P.L. 112-25 Anesthesia Rural Pass Through Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2014 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injectionsCMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry

Client expense: $240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

SGR/physician payment reform, access to breadt reconstruction surgery for women women with breast cancer (S. 931/HR 1984), IPAB repeal (S. 351/HR 351), combatting false advertising in health care (HR. 1427), medical liabilty reform, electronic health records meaningful use reform (HR. 1331), health insurance coverage for children with congenital deformities

Client expense: $145,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

SGR/physician payment reform, IPAB repeal (S. 351/HR. 351), medical liability reform, electronic health records meaningful use reform (HR. 1331), private contracting for Medicare beneficiaries and their physicians (S. 236/HR. 1310), graduate medical education (S. 1152/HR. 1180/HR. 1201), clinical data registry reporting, combatting false advertising in health care (HR. 1427), insurance coverage for children with congenital deformities

Client expense: $145,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Emergency Contraception (general); Health Care Reform Implementation.HIV Screening (general); Gynecological Cancer; Breast Cancer (general); Breastfeeding (general); Medical Liability Reform (general); Health IT (general); Prematurity(general); Obesity (general); Disparities (general); Prevention & Public Health Trust Fund(general); Imaging (general); Graduate Medical Education (general); Quality Improvement Measurement (general); Contraception (general); Preeclampsia (general); CMS Provider Penalties (general); National Health Service Corps (general); Abortion (general); Indian Health (general) CMS Health IT incentive program, meaningful use Stage 3; Immigrant Health Care Access; S. 237, Advancing FASD Research, Prevention, and Services Act; S. 333/H.R. 728, Access to Birth Control Act; H.R. 1331, Electronic Health Records Improvements Act; H.R. 1201, Training Tomorrow's Doctors Today Act; H.R. 896/S. 425, Quality Care for Moms and Babies Act; H.R. 1281/S. 1417, Newborn Screening Saves Lives Reauthorization Act; H.R. 1473, Standard of Care Protection Act; H.R. 36/S. 961, Health Care Safety Net Enhancement Act; H.R. 1975/S. 942, Pregnant Workers Fairness Act; H.R. 1797/S. 886, Pain-Capable Unborn Child Protection Act; Implementation of H.R. 3204, the Drug Quality and Security Act; H.R. 3774, Repealing Ineffective and Incomplete Abstinence-only Program Funding Act; H.R. 1915/S. 907 GEDI Act; CHIP Quality; S. 696, Safe Chemicals Act; S. 1009, Chemical Safety Improvement Act; H.R. 2286, Maximizing Optimal Maternity Services for the 21st Century Act; H.R. 4106, Saving Lives, Saving Costs Act; Pregnancy Discrimination (general); S. 1124, BPA in Food Packaging Right to Know Act; H.R. 4240, HEAL Immigrant Women and Families Act; H.R. 4216, Maternal Health Accountability Act; S. 1978, Increasing Primary Care Access Act; H.R. 4435/S. 2410 Carl Levin National Defense Authorization Act for Fiscal Year 2015; H.R. 4385, To Amend the Public Health Service Act to provide for the designation of maternity care health professional shortage areas; H.R. 4492/S. 1994 TRICARE Moms Improvement Act of 2014; H.R. 4750/S. 1769, Standard of Care Protection Act of 2014; H.R. 2996/S. 2461, CHIP Extension Act of 2014

Client expense: $495,485 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

S.1137 - "Ambulatory Surgical Center Quality and Access Act of 2013." Support for HR 1331, "Electronic Health Records Improvement Act."

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 153, H.R. 274, the Mental Health First Aid Act of 2013 S. 195, H.R. 628, the Mental Health in Schools Act of 2013 H.R. 1100, the Mental Health on Campus Improvement Act S. 264, H.R. 1263, the Excellence in Mental Health Act H.R. 794, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 574, the Medicare Physician Payment Innovation Act of 2013 S. 577, H.R. 1201, Training Tomorrows Doctors Today Act S. 236, H.R. 1310, the Medicare Patient Empowerment Act of 2013 H.R. 1331, the Electronic Health Records Improvement Act H.R. 1427, the Truth in Healthcare Marketing Act of 2013 S. 351, H.R. 351, the Protecting Seniors Access to Medicare Act of 2013 H.R. 297, the Childrens Hospital GME Support Reauthorization Act of 2013 S. 265, Community-Based Mental Health Improvements Act S. 648, Helping Educators Support All Students Act S.162, Justice and Mental Health Collaboration Act of 2013; S. 649, Safe Communities, Safe Schools Act of 2013 H.R. 1615, A bill to provide for a study by the Institute of Medicine on gaps in mental health services and how these gaps can increase the risk of violent acts. H.R. 2037, the Native American Psychiatric and Mental Health Care Improvement Act H.R. 2545, the Accuracy in Medicare Physician Payment Act of 2013 S. 1064, Medicare Mental Health Access Act H.R. 2775, No Subsidies Without Verification Act H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128, the Protect Patients Act of 2013 H.R. 2817, the Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 2734, the Garrett Lee Smith Memorial Act Reauthorization of 2013 H.R. 2910, the Gun Violence Prevention and Reduction Act H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H Con Res 69, the Stop Harming Our Kids Resolution of 2013 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 4015, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762, the Medicare Transitional Care Act of 2014 H.R. 4574, the Strengthening Mental Health in Our Communities Act H.R. 4783, the Promoting Healthy Minds for Safer Communities Act H.R. 4581, the Parental Control Act of 2014

Client expense: Not reported · Firm income: $196,673

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S. 264, H.R. 1263, the Excellence in Mental Health Act H.R. 794, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 574, the Medicare Physician Payment Innovation Act of 2013 S. 577, H.R. 1201, Training Tomorrows Doctors Today Act S. 236, H.R. 1310, the Medicare Patient Empowerment Act of 2013 H.R. 1331, the Electronic Health Records Improvement Act S. 351, H.R. 351, the Protecting Seniors Access to Medicare Act of 2013 H.R. 297, the Childrens Hospital GME Support Reauthorization Act of 2013 H.R. 2545, the Accuracy in Medicare Physician Payment Act of 2013 S. 1064, Medicare Mental Health Access Act H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128, the Protect Patients Act of 2013 H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H.R. 3662, the Mental Health Access Improvement Act of 2013 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 4015, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762, the Medicare Transitional Care Act of 2014 Proposed Rule: Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System - Update for the Fiscal Year Beginning October 1, 2014 (FY 2015)(Vol. 79, Federal Register No. 87, 26040, May 6, 2014) Docket No. CMS-1606-P

Client expense: Not reported · Firm income: $196,673

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Proposed Regulations affecting Rural Health ClinicsRegulations establishing standards for the meaningful use of electronic health records Provider enrollment (PECOS) in Medicare and the ability to order or refer patients Possible cuts to Medicare bad debt payments for RHCs Sequestration related cuts in RHC payments H.R. 1331: Electronic Health Records Improvement Act Seniors Mental health Access Improvement Act Proposed Changes in RHC regulations dealing with employment of PAs and NPs Changes to the RHC manual by CMS Medicaid waiver applications submitted by Arkansas and Iowa Legislation to repeal/replace the SGR formula Medicare interpretation of "preventive services" as billable visits when performed in rural health clinic CMS reinterpretation of Island staffing exemption in RHCs The ability of RHC providers to serve as rendering provider for telehealth visits Medicaid waiver application submitted by Pennsylvania Medicaid changes made by West Virginia relative to Rural Health Clinic Services Craig Thomas R-Hope legislation

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Legislation to fix or affecting the Medicare Physician Fee problem and Graduate Medical Education. Support to repeal IPAB. Regulations implementing Affordable Care Act, HIT, ACO's, Physician Fee Schedule, Medicare fraud and abuse, electronic records and ICD-10. Support HR 1331, Electronic Health Record Improvement Act. Support HR 1331, Electronic Health Record Improvement Act.Legislation to repeal/replace the SGR formula affecting Physician fee schedule payment conversion factor

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support legislation to eliminate the Independent Payment Advisory Board (S.351, H.R. 351, Protecting Seniors' Access to Medicare Act of 2013). Support legislation to increase residency slots for Graduate Medical Education (H.R. 1201, Training Tomorrow's Doctors Today Act).Lobby in support of legislation to enact a permanent repeal to the Medicare sustainable growth rate (S.2000/H.R. 4015; SGR Repeal and Medicare Provider Payment Modernization Act of 2014 ). Lobby in support of a cap on the amount CMS can decrease payment to physician services in a given year. (related provision included in S.2000/H.R. 4015; SGR Repeal and Medicare Provider Payment Modernization Act of 2014 and H.R. 4302, Protecting Access to Medicare Act). Lobby Congress in opposition to proposed legislation to repeal in-office ancillary and physician services for anatomic pathology services (H.R. 2914, Promoting Integrity in Medicare Act of 2013, FY 15 President's Budget). Lobby Congress on impact of Health Information Technology. Support legislation to reform the Medicare and Medicaid Electronic Health Records Incentive Program (H.R. 1331, Electronic Health Records Improvement Act). Lobby Congress to stop sequestration cuts to Medicare physician payments (Bipartisan Budget Act of 2013). Oppose SGR patch legislation (H.R. 4302, Protecting Access to Medicare Act). Lobby in support of increased transparency and adequate response time from CMS when setting values for misvalued codes.

Client expense: $346,672 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Monitored H.R. 1331 Electronic Health Records Improvement Act (all sections of full text)

Client expense: Not reported · Firm income: $20,000

Government targets: SENATE

H.R. 855 - Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 702, Access to Frontline Health Care Act, all sectionsH.R. 1427, Truth in Health Marketing Act, all sections H.R. 351, Protecting Seniors Access to Medicare Act, all sections S. 351, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 920, National Health Service Corps Improvement Act H.R. 1331, Electronic Health Records Improvement Act P.L. 113-54, Drug Quality & Security Act, all sections H.R. 4015/S 2000, the SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302, Protecting access to Medicare Act ASC Quality Reporting Program Medicare Advantage Participant Bill of Rights Act (S2552/HR4998), all sections

Client expense: $250,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Patient Protection and Affordable Care Act, P.L. 111-148, Section 4104; Medicare sustainable growth rate reform: H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013; Colon cancer screening policies in Medicare; Medicare physician quality initiatives; H.R. 1320/S. 608, Supported Colorectal Examination and Educaiton Now Act (Screen Act) of 2013; H.R. 1331, Electronic Health Records Improvement Act; H.R. 2545, the Accuracy in Physician Payment Act of 2013;H.R. 4302, Protecting Access to Medicare Act of 2014 (P.L. 113-93); S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medical procedures under Medicare.

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

H.R. 574, Medicare Physician Payment Innovation Act H.R. 1427, Truth in Healthcare Marketing Act of 2013 H.R. 1331, Electronic Health Records Improvement ActS.2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; Sustainable Growth Rate S.1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 S.1444, Medicare Access to Rural Anesthesiology Act of 2013 H.R. 351, Protecting Seniors' Access to Medicare Act; IPAB S.351, Protecting Seniors' Access to Medicare Act; IPAB H.R. 4695, To Ammend title XVIII of the Social Security Act to add sleep apnea screening to the initial preventive physical examination under the Medicare program Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2014 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injectionsCMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA E-Prescribing

Client expense: $190,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Patient Protection and Affordable Care Act, P.L. 111-148, Section 4104; Medicare sustainable growth rate reform: H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013; Colon cancer screening policies in Medicare; Medicare physician quality initiatives; H.R. 1320/S. 608, Supported Colorectal Examination and Educaiton Now Act (Screen Act) of 2013; H.R. 1331, Electronic Health Records Improvement Act; H.R. 2545, the Accuracy in Physician Payment Act of 2013;H.R. 4302, Protecting Access to Medicare Act of 2014 (P.L. 113-93); S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; Advancement of physician quality registries as they relate to Medicare physician payment reform.

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE